PMID- 24530671
OWN - NLM
STAT- MEDLINE
DCOM- 20140522
LR  - 20171028
IS  - 1558-3597 (Electronic)
IS  - 0735-1097 (Linking)
VI  - 63
IP  - 13
DP  - 2014 Apr 8
TI  - Proposal for a functional classification system of heart failure in patients with 
      end-stage renal disease: proceedings of the acute dialysis quality initiative 
      (ADQI) XI workgroup.
PG  - 1246-1252
LID - S0735-1097(14)00331-3 [pii]
LID - 10.1016/j.jacc.2014.01.020 [doi]
AB  - Structural heart disease is highly prevalent in patients with chronic kidney 
      disease requiring dialysis. More than 80% of patients with end-stage renal 
      disease (ESRD) are reported to have cardiovascular disease. This observation has 
      enormous clinical relevance because the leading causes of death for patients with 
      ESRD are of cardiovascular disease etiology, including heart failure, myocardial 
      infarction, and sudden cardiac death. The 2 systems most commonly used to 
      classify the severity of heart failure are the New York Heart Association (NYHA) 
      functional classification and the American Heart Association (AHA)/American 
      College of Cardiology (ACC) staging system. With rare exceptions, patients with 
      ESRD who do not receive renal replacement therapy (RRT) develop signs and 
      symptoms of heart failure, including dyspnea and edema due to inability of the 
      severely diseased kidneys to excrete sodium and water. Thus, by definition, 
      nearly all patients with ESRD develop a symptomatology consistent with heart 
      failure if fluid removal by RRT is delayed. Neither the AHA/ACC heart failure 
      staging nor the NYHA functional classification system identifies the variable 
      symptomatology that patients with ESRD experience depending upon whether 
      evaluation occurs before or after fluid removal by RRT. Consequently, the 
      incidence, severity, and outcomes of heart failure in patients with ESRD are 
      poorly characterized. The 11th Acute Dialysis Quality Initiative has identified 
      this issue as a critical unmet need for the proper evaluation and treatment of 
      heart failure in patients with ESRD. We propose a classification schema based on 
      patient-reported dyspnea assessed both pre- and post-ultrafiltration, in 
      conjunction with echocardiography.
CI  - Copyright (c) 2014 American College of Cardiology Foundation. Published by Elsevier 
      Inc. All rights reserved.
FAU - Chawla, Lakhmir S
AU  - Chawla LS
AD  - Department of Medicine, Division of Nephrology, Washington DC Veterans Affairs 
      Medical Center, and Department of Anesthesiology and Critical Care Medicine, 
      George Washington University Medical Center, Washington, DC. Electronic address: 
      minkchawla@gmail.com.
FAU - Herzog, Charles A
AU  - Herzog CA
AD  - Department of Medicine, Division of Cardiology, Hennepin County Medical Center, 
      University of Minnesota, Minneapolis, Minnesota.
FAU - Costanzo, Maria Rosa
AU  - Costanzo MR
AD  - Midwest Heart Specialists-Advocate Medical Group, Naperville, Illinois.
FAU - Tumlin, James
AU  - Tumlin J
AD  - Southeast Renal Research Institute, Chattanooga, Tennessee.
FAU - Kellum, John A
AU  - Kellum JA
AD  - Center for Critical Care Nephrology, Department of Critical Care Medicine, 
      University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
FAU - McCullough, Peter A
AU  - McCullough PA
AD  - Baylor University Medical Center, Baylor Heart and Vascular Institute, Baylor 
      Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas; Heart 
      Hospital, Plano, Texas.
FAU - Ronco, Claudio
AU  - Ronco C
AD  - Department of Nephrology, Dialysis, and Transplantation, International Renal 
      Research Institute, San Bortolo Hospital, Vicenza, Italy.
CN  - ADQI XI Workgroup
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20140212
PL  - United States
TA  - J Am Coll Cardiol
JT  - Journal of the American College of Cardiology
JID - 8301365
SB  - IM
MH  - American Heart Association
MH  - Echocardiography
MH  - Glomerular Filtration Rate
MH  - Heart Failure/*classification/complications/physiopathology
MH  - Humans
MH  - *Kidney Failure, Chronic/complications/physiopathology/therapy
MH  - *Quality Indicators, Health Care
MH  - Renal Dialysis/*methods
MH  - United States
MH  - Ventricular Function, Left/*physiology
OTO - NOTNLM
OT  - ESRD
OT  - chronic kidney disease
OT  - classification
OT  - dyspnea
OT  - fluid overload
OT  - heart failure
EDAT- 2014/02/18 06:00
MHDA- 2014/05/23 06:00
CRDT- 2014/02/18 06:00
PHST- 2013/11/23 00:00 [received]
PHST- 2014/01/04 00:00 [revised]
PHST- 2014/01/06 00:00 [accepted]
PHST- 2014/02/18 06:00 [entrez]
PHST- 2014/02/18 06:00 [pubmed]
PHST- 2014/05/23 06:00 [medline]
AID - S0735-1097(14)00331-3 [pii]
AID - 10.1016/j.jacc.2014.01.020 [doi]
PST - ppublish
SO  - J Am Coll Cardiol. 2014 Apr 8;63(13):1246-1252. doi: 10.1016/j.jacc.2014.01.020. 
      Epub 2014 Feb 12.